Exam

Usually we use to write fever chart in *SOAP* format- top to bottom.   S- subjectivecomplaints-  Next day , mention the same, whether it was subsided or not .   O- In objective , I used to include those parameters only, which I want to monitor daily... ( because I don't want to make it clumpsy). Like - abdominal girth in Ascites . Daily weight measurement in Heart failure.   A- in Assement , I used to mention the investigations,which I used to monitor daily. Like - TLC in Sepsis . But my friends and other interns used to mention every investigation though it was normal, which I was not interested.   P- plan . .. please mention the drugs along with interventions that you are giving to patient... On next day , mention if any new drugs were added .. Or mention if any drug was stopped.

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome." Chief compliants :  1) Slowness of movements since 1 year . 2) Involuntary movements of the Left upper limb. 3) Slowness in speech since 1 year. History of present illness :  60 year old female,who is a mother of 3 children (  1 son and 2 daughters ), labour by occupation ( goes to agriculture field ) was apparently asymptomatic 1 year back, then developed Slowness of movements which was insidious onset, gradually progressive not associated with any wea...

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome." Chief compliants:  Altered sensorium since morning. History of present illness :  Patient is a labour by occupation used to work in the agriculture fields.He also had 1/2 acre land where he grows paddy and married at around 25 years of age.After marriage , when he was working in the field ,he had injury by cow on his chest , which later on formed a keloid on his chest. 4 years back, patient developed generalised weakness for which he went to the hospital and diagno...

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome." Chief complaints :  Multiple joint pains since 7 years. History of present illness :  Patient was a Taylor in the medical institute, her daily routine was to stitch the clothes with the help of machine from 9am to 4 pm in the medical institute. She was apparently normal 7 years back , then developed pain in the right proximal interphalangeal joints association with stiffness in the early morning for about 1 hour and which gradually relieved after 2 hour...

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome." Chief compliants:  Absent Menstrual cycle 6 months back. History of present illness :  Patient was apparently asymptomatic 6 months back, then she developed absent Menstrual cycles not associated with any pain abdomen and vomtings and then she went to the gynecology OPD and on routine evaluation , the ultrasound abdomen showed altered renal echotexture and Urine analysis showed Proteinuria and she was referred to general medicine department for further ...

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome." Chief complaints :  1)  Itching since 2 months  2) Decreased appetite associated nausea and vomting since 7 days . 3) Decreased urine output since 1 day. History of present illness :  50 year old male who is a lorry driver by occupation.He was uneducated,till 13 years of age he used to help his father in agriculture farming and then worked as a lorry cleaner for 2 years and later as lorry driver for 30 years. At 13 years of age, patient got married and  15 ...